NORTH FLORIDA MEDICAL CENTERS, INC. (NPI# 1982920906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982920906 |
| Entity Type | Organization |
| Organization Name | NORTH FLORIDA MEDICAL CENTERS, INC. |
| Practice Address |
800 Hospital Dr Crestview FL 32539-7385 |
| Mailing Address |
2804 Remington Green Cir Ste 2 Tallahassee FL 32308-1550 |
| Practice Telephone | 8504234603 |
| Practice Fax Number | 8504230473 |
| Mailing Telephone | 8503854494 |
| Mailing Fax Number | 8502986054 |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2018-01-09 |
| Authorized Official Name | LANE MILLER LUNN (PRESIDENT/CEO) |
| Authorized Official Telephone | 8503854494 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTH FLORIDA MEDICAL CENTERS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 693564802 | 05 | |
| FL | 693564800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538676739 | North Florida Medical Centers, Inc. | Clinic/Center | 3721 N Monroe St, Tallahassee, FL 32303-2740 | 2018-01-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTH FLORIDA MEDICAL CENTERS, INC. | 2804 Remington Green Cir, Tallahassee, FL 32308-8707 |
| Street Address |
800 HOSPITAL DR |
| City | CRESTVIEW |
| State | FL |
| Zip Code | 32539-7385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289563 | Lauren Marie Schak | Registered Nurse | 800 Hospital Dr, Crestview, FL 32539-7385 | 2020-09-09 |
| 1508489238 | Lauren Michelle Soekirman | Dentist | 800 Hospital Dr, Crestview, FL 32539-7385 | 2020-05-28 |
| 1396384582 | Jennifer Vital Whitfield | General Practice | 800 Hospital Dr, Crestview, FL 32539-7385 | 2020-01-05 |
| 1659913606 | Shirley Blanco | Nurse Practitioner | 800 Hospital Dr, Crestview, FL 32539-7385 | 2019-10-10 |
| 1316470065 | Patricia Haun | Dental Hygienist | 800 Hospital Dr, Crestview, FL 32539-7385 | 2017-04-10 |
| 1124564976 | Carolina Schlicker | Dental Hygienist | 800 Hospital Dr, Crestview, FL 32539-7385 | 2017-01-17 |
| 1548651870 | Sadi Ramirez | Pediatrics | 800 Hospital Dr, Crestview, FL 32539-7385 | 2015-02-09 |
| 1700044997 | Allen Pryor Vanoverbeke | Dentist | 800 Hospital Dr, Crestview, FL 32539-7385 | 2008-05-25 |
| 1194908954 | North Florida Medical Centers Inc | Clinic/Center | 800 Hospital Dr, Crestview, FL 32539-7385 | 2007-12-14 |
| 1053396002 | Terry L Payne | Family Medicine | 800 Hospital Dr, Crestview, FL 32539-7385 | 2005-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326418336 | Abc Pediatrics of Okaloosa | Pediatrics | 182 E. Redstone Ave, Suite B, Crestview, FL 32539 | 2015-10-02 |
| 1336498443 | Jessica Carolina Carroll | Counselor | 259 E. Oakdale Ave, Crestview, FL 32539 | 2012-09-05 |
| 1902167166 | Patricia Guess | Registered Nurse | 6011 Aubrey Lee Ln, Crestview, FL 32539 | 2012-06-05 |
| 1699048181 | Chien Nguyen | Clinical Medical Laboratory | 151 East Redstone Avenue, Crestview, FL 32539 | 2012-02-15 |
| 1043494164 | Crestview Mri | Clinic/Center | 700 Hospital Drive, Crestview, FL 32539 | 2007-12-26 |
| 1558581215 | Barnes Healthcare of Fl LLC | Durable Medical Equipment & Medical Supplies | 450 Brookmeade Dr, Crestview, FL 32539 | 2007-04-26 |
| 1568576098 | Okaloosa Youth Development Center | Substance Abuse Rehabilitation Facility | 4449 Straighline Road, Crestview, FL 32539 | 2006-08-19 |
| 1154368181 | Marcello Borzatta | Surgery | 129 E. Redstone Ave, Suite A, Crestview, FL 32539 | 2006-05-31 |
| 1902850258 | Panhandle Orthopaedics LLC | Physical Therapist | 710 Hospital Drive, Crestview, FL 32539 | 2006-05-20 |
| 1619941440 | Yale R Smith | Anesthesiology | 151 Redstone Ave Se, Pinnacle Physicians LLC, Crestview, FL 32539 | 2006-02-16 |
| Find all providers in zip 32539 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194908954 | North Florida Medical Centers Inc | Clinic/Center | 800 Hospital Dr, Crestview, FL 32539-7385 | 2007-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326132 | Foundcare Inc | Clinic/Center | 5867 Okeechobee Blvd, West Palm Beach, FL 33417-4344 | 2020-11-05 |
| 1720686355 | Mcr Health, Inc. | Clinic/Center | 170 N Lime Ave, Sarasota, FL 34237-6122 | 2020-10-15 |
| 1306452438 | Jessie Trice Community Health System Inc | Clinic/Center | 5361 Nw 22nd Ave # M1, Miami, FL 33142-8035 | 2020-09-23 |
| 1679185292 | Primary Care Medical Services of Poinciana Inc | Clinic/Center | 8600 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34747-1001 | 2020-08-17 |
| 1992316285 | Central Florida Health Care, Inc. | Clinic/Center | 225 Lincoln Ave, Lake Wales, FL 33853-3546 | 2020-08-11 |
| 1902425028 | Lee Memorial Health System | Clinic/Center | 2525 Harbor Blvd Ste 204, Port Charlotte, FL 33952-5342 | 2020-04-09 |
| 1164051405 | Lee Memorial Health System | Clinic/Center | 2484 Caring Way Unit F, Port Charlotte, FL 33952-5306 | 2020-04-08 |
| 1750919791 | City of Dunedin | Clinic/Center | 1042 Virginia St, Dunedin, FL 34698-7325 | 2020-03-27 |
| 1407481039 | Primary Care Medical Services of Poinciana Inc | Clinic/Center | 4303 Cameron Preserve Cir, Kissimmee, FL 34746-6304 | 2020-03-04 |
| 1669012498 | Project Health Inc | Clinic/Center | 595 N Lecanto Hwy, Lecanto, FL 34461-9187 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NORTH FLORIDA MEDICAL CENTERS, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.